KATHY ANN LEVY GNP NPI 1174577092

NPI Information

  • NPI: 1174577092
  • Provider Name: KATHY ANN LEVY, GNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3069 TRENWEST DR
    STE 200
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 993-3146

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NPI Details

Kathy Ann Levy, GNP is a gerontology nurse practitioner in Winston Salem, NC. Kathy Ann Levy, GNP NPI is 1174577092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3069 TRENWEST DR
STE 200
WINSTON SALEM, NC
ZIP 27103-211
Phone: (336) 993-3146
Fax: (336) 992-3930

The NPI 1174577092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology52729NORTH CAROLINAYes
2363LG0600XNurse PractitionerGerontology600128NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1600128OTHERNORTH CAROLINAMED LIC
21855NOTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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